Japan’s top court has rejected an appeal by a doctor convicted of consensually killing a woman, Yuri Hayashi, 51, who had amyotrophic lateral sclerosis, a rare neurological disease also known as Lou Gehrig’s disease, in 2019 in Kyoto, western Japan, finalizing his 18-year prison sentence. The Supreme Court’s Second Petty Bench rejected arguments that found Yoshikazu Okubo, 47, guilty of aiding another’s suicide would violate the constitutional right to self-determination.